Montreal Internal Medicine Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MONTREAL INTERNAL MEDICINE ASSOCIATES, PC

Practice address

1462 Montreal Rd
Suite 303
Tucker, GA 30084-6929

Phone

(770) 938-9761

Fax

(770) 938-6509

NPI assigned

Jun 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas J Difulco, M.D.NPI 1558391193

Title

Owner

Phone

(770) 938-9761

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas J Difulco, M.D.

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1558391193
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1669414066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "SUITE 303",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "770-938-9761",
            "fax_number": "770-938-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "SUITE 303",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "770-938-9761",
            "fax_number": "770-938-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTREAL INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "DIFULCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-938-9761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali M Mohamed, MD
• Brianna Monique Molina
• Sanders Mompremier, M.D.
• Mona Venus Skin Care LLC
• Mark Monterola
• Natasha Moon, PHD
• Danielle Moore, CCC-SLP
• Emily Moore
• Juanese Moore, LPC
• Kathryn Marie Moore, RN, APRN-BC

• Internal Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.